Provider Demographics
NPI:1407866478
Name:ZUMO, KRISTIN MARIE (PHYSICAL THARAPIST)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:MARIE
Last Name:ZUMO
Suffix:
Gender:F
Credentials:PHYSICAL THARAPIST
Other - Prefix:
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Mailing Address - Street 1:8930 FOUR WINDS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-1971
Mailing Address - Country:US
Mailing Address - Phone:210-495-8788
Mailing Address - Fax:210-495-8212
Practice Address - Street 1:8930 FOUR WINDS DR STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-1971
Practice Address - Country:US
Practice Address - Phone:210-495-8788
Practice Address - Fax:210-495-8212
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1178509225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist